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Utilization Review Case Manager -Registered Nurse

Job

Island Hospital

Anacortes, WA (In Person)

$100,766 Salary, Full-Time

Posted 1 week ago (Updated 4 days ago) • Actively hiring

Expires 8/1/2026

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Job Description

Back Utilization Review Case Manager•Registered Nurse Island Hospital Anacortes, WA 98221, USA Jun 24, 2026
Full Time Assistant & Support Nursing Job Description Work Schedule:
Variable Shift Weekdays/Weekends For Information on
Employee Benefits and WSNA Contract Salary Range:
$38.42•$57.62
Other Compensation:
BSN (or higher) premium•$1.00/hour Certification premium•$1.00/hour
Duties:
Discharge Planning Identifies patients at risk for encountering problems post-hospitalization through performing a comprehensive assessment of patient discharge needs and assists to facilitate a referral for appropriate discipline/team members and outside agencies for facilitating safe and appropriate discharge plan. Identification of community resources and coordination of referral. Ability to prioritize and manage daily workload. This includes the ability to continually analyze and evaluate daily assigned caseload and prioritize the patients that require an initial or on-going discharge assessment, readmission risk assessment or discharge plan, which patients are discharging and need post-hospital placement and continued follow-up care needs. Assure timely and appropriate documentation of discharge and risk assessments, discharge plan, utilization management and follow-up care to assure safe and cost efficient continuity of care. Works with patient and interdisciplinary care team members to coordinate and implement patient discharge planning. May collaborate with community resources and be a liaison between Care Management and agencies as appropriate for the benefit of discharge planning. Communicates patient discharge plan with appropriate stakeholders. Documents clearly all assessments, interventions and planning in a clear, concise, accurate and timely manner. May perform initial and concurrent medical record review for third party payers. May review medical records for medical necessity of hospital admission and continued stay using Interqual or other assigned guidelines. Educate and include patient and family in transition planning in preparation for discharge and provides updates and/or changes throughout the hospital stay. Contact and arrange placements to skilled nursing facilities, rehab, long-term care, specialty care, home health agencies. Other duties as assigned dependent upon training and scope of practice. Utilization Review Works in collaboration with Physician Advisor and commercial payors to perform prospective, concurrent and retrospective reviews to determine if patient level of care is determined to be medical necessary. Performs Risk Assessment for all new admissions to determine need for assignment to Discharge Planning for a comprehensive face to face patient assessment to identify and plan for appropriate discharge plan.
Skills/Qualifications:
Strong verbal, written and interpersonal communication skills. Strong organization skills with the ability to work independently or as part of an interdisciplinary team in a fast paced environment. A high level of maturity, professionalism and discretion in daily interactions with patients, families and interdisciplinary team. Timely and effective communication with patients, families, providers and interdisciplinary team. Assure excellent customer service is provided to all stakeholders inside and outside the organization. Knowledge of discharge planning, utilization review, CMS criteria related to patient status and general payor reimbursement requirements. Strong analysis/problem solving skills. Computer skills to include proficiency in keyboarding and data entry. Critical thinking skills, able to assess, evaluate and teach. MS Office proficiency preferred.
Requirements:
Minimum of three (3) years' experience in a hospital setting with medical/surgical experience; may have equivalent combination of education and/or experience. One (1) year experience in discharge planning, case management and/or utilization management experience. Must maintain active RN license issued by the WA Department of Health. Graduate of an accredited school of nursing; advanced education to include BSN preferred. Work Environment The work of this position is performed inside, exposing the employee to indoor environmental conditions, protected from weather conditions but not necessarily from temperature changes. The employee may be exposed to dust, pollens, pollutants, fumes, communicable diseases, bodily fluids, toxic substances, ionizing radiation, medicinal preparations and other conditions common a health care environment. The noise level in the work environment is usually moderate. Physical Demands Requires sitting and standing associated with a typical office environment; should have the hand-eye coordination and manual dexterity needed to operate a keyboard, photocopier, telephone. Normal range of hearing and eyesight to record, prepare and communicate appropriate reports are required; close vision, distance vision, color vision, peripheral vision, depth perception and the ability to focus. Reasonable accommodation can be made to enable people with disabilities to perform essential functions of this position in relation to the physical demands detailed above
Salary Range:
$38.42•$57.62 Email me jobs like this About Island Hospital Island Hospital is an integral part of the great quality of life in Anacortes, Washington and we are actively recruiting for a number of employment opportunities. Located on beautiful Fidalgo Island, Island Hospital is the center for health and wellness in west Skagit County, also serving north Whidbey Island and the San Juan Islands. We have been trusted to provide care to our community since 1962 and are honored to be their provider of choice. We remain focused on providing a personal and compassionate healthcare experience with a range of services and exceptional quality care typically found in a larger facility. Island Hospital is 43 bed acute care hospital. Each patient room is single occupancy and all of the acute care rooms have a ceiling lift, and private bathroom with a shower . We have six Specialty Care Clinics and five Family Care Clinics providing specialty services that include: Family Medicine, Pediatrics, Obstetrics & Gynecology, Sleep Wellness Center, Behavioral Health, Wound Care, and Sleep Wellness. Our inpatient and outpatient services include: Acute Care, Emergency Services, Birthing Center, Surgical Services, Diagnostic Imaging, Physical, Occupational & Speech Therapy. We also support our community by offering Community Education classes and various screenings. Employee Benefits Island Hospital provides an innovative and growing environment for our employees to further their careers. In addition to competitive wages, Island Hospital offers a comprehensive benefits plan that includes full medical, dental and vision insurance, long term disability and life insurance, vested retirement plan contributions, generous Paid Time Off and Extended Illness Bank hours, and a variety of optional supplemental benefits. We're excited to share that we also provide an additional Loan Repayment or Tuition Assistance benefit for several positions•contact us to learn more! Awards Island Hospital is proud to be a DNV accredited hospital. We have a 4 star Medicare rating. Company Profile